Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10043 | Date 03/09/2021 |
| Token No | SM/21-22/7355 01/12/2021 | Serial | 004 Last Visit: 01/12/2021 |
| Patient Name | Mr. MITHUN PRAMANIK | Contact No | 8017147022 |
| Address | 7A THAKURBATI STREET, SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||